Anteriorly Placed Splenic Vein: The First Reported Case

2005 ◽  
Vol 71 (2) ◽  
pp. 184-186
Author(s):  
Omar Javed Shah ◽  
Irfan Robbani
Keyword(s):  
Portal Hypertension ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Renal Vein ◽  
Collateral Circulation ◽  
Left Renal Vein ◽  
Portal Pressure ◽  
Splenic Vein ◽  
Posterior Surface ◽  
Unique Case

Surgical treatment of portal hypertension is undertaken to reduce the portal pressure to a level that allows recession of the collateral circulation. For this purpose, surgeons usually carry out anastomosis of the splenic vein with the left renal vein. The splenic vein is a large, nontortuous vessel that runs along the posterior surface of the pancreas but very rarely crosses in front of the gland. It is therefore important that a thorough preoperative study of the anatomical details of the spleno-portal venous axis be made by imaging before attempting surgery. We are presenting herewith the surgical management of a unique case of anteriorly placed splenic vein, which has not yet been described. The embryological basis of such an anomaly is discussed in this article.

SURGICAL TREATMENT OF A CHILD WITH OVARICOVARICOCELE IN THE BACKGROUND OF PORTAL HYPERTENSION SYNDROME

2021 ◽  
Vol 100 (4) ◽  
pp. 190-193
Author(s):  
A.B. Alkhasov ◽  
◽  
R.O. Ignatyev ◽  
A.P. Fisenko ◽  
S.P. Yatsyk ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Surgical Treatment ◽  
Renal Vein ◽  
Clinical Effect ◽  
Left Renal Vein ◽  
Left Kidney ◽  
Venous Hypertension ◽  
Complex Case ◽  
Portal Hemodynamics

A complex case report of the diagnosis and surgical correction of ovaricovaricocele (OVC) in a girl with portal hypertension syndrome is presented. The disease manifested itself with symptoms atypical for portal hypertension – dysmenorrhagia and persistent recurrent pelvic pain. The cause of OVC was thrombosis of the left renal vein after splenorenal shunt. Venous hypertension of the left kidney persisted even after creating a mesenteric-caval anastomosis and improving portal hemodynamics. Left-sided ovarian-caval shunt was made with a good clinical effect, which was confirmed by angiography.

scholarly journals Left Renal Vein Ligation: A Technique to Mitigate Low Portal Flow from Splenic Vein Siphon during Liver Transplantation

2011 ◽  
Vol 11 (8) ◽  
pp. 1743-1747 ◽  
Author(s):  
R. R. Slater ◽  
N. Jabbour ◽  
A. Abou Abbass ◽  
V. Patil ◽  
J. Hundley ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Splenic Vein ◽  
Portal Flow

Development of portacaval shunts in portal-stenotic cats

1993 ◽  
Vol 71 (9) ◽  
pp. 671-674 ◽  
Author(s):  
Andres C. Inglés ◽  
Dallas J. Légaré ◽  
W. Wayne Lautt
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Experimental Model ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Venous Pressure ◽  
Homogeneous Model ◽  
Pulmonary Veins ◽  
Inferior Mesenteric Vein ◽  
Mesenteric Vein

The goal of the present study was to investigate the formation of portacaval shunts in a new experimental model of chronic portal hypertension, portal vein stenosis in the cat. The procedure gradually occluded the portal vein by use of an Ameroid constrictor around the portal vein. After 4 weeks, the portal vein was completely occluded and portal venous pressure was elevated to 15.6 ± 0.3 mmHg (1 mmHg = 133.3 Pa) (n = 8). The hemodynamic changes did not affect the functional capacity of the liver. Latex injection was used to study the shunts. This revealed the spontaneous development of porta-systemic collaterals in all hypertensive cats, mainly between the gastrosplenic and right gastroepiploic veins and the left renal vein. Fine small branches also drained directly into the cava. The left renal vein was markedly dilated in all cats. Collateral circulation also developed between the inferior vena cava and the inferior mesenteric vein through both left internal testicular and iliolumbar veins. Some branches of the inferior mesenteric vein were connected directly to the cava. Esophageal varices in the mucosa or submucosa were not demonstrated. However, the presence of latex in the pulmonary veins and the visualization of periesophageal collaterals suggest the opening of porta-pulmonary shunts. A constant feature in all cats was the presence of a dilated azygos vein, which drained collaterals retroperitoneally and from the abdominal wall. In conclusion, an experimental model of prehepatic portal hypertension of gradual onset has been developed in cats. The formation of the porta-systemic shunts mimics other animal models and the human form of the disease. It is a homogeneous model and easily reproducible.Key words: portal hypertension, porta-systemic shunts, portal stenosis, Ameroid constrictor, cat.

scholarly journals Surgical Treatment of a Patient With Nutcracker Syndrome via Transposition of the Left Renal Vein

2018 ◽  
Vol 41 ◽  
pp. 10-12
Author(s):  
Borislav Denchev ◽  
Elena Domuschieva ◽  
Galin Jelev ◽  
Valentin Govedarski ◽  
Todor Zahariev
Keyword(s):  
Surgical Treatment ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome

scholarly journals Splenorenal shunt for reconstruction of the gastric and splenic venous drainage during pancreatoduodenectomy with resection of the portal venous confluence

2021 ◽  
Author(s):  
Mohammed Al-Saeedi ◽  
Leonie Frank-Moldzio ◽  
Pietro Contin ◽  
Philipp Mayer ◽  
Martin Loos ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Left Renal Vein ◽  
Splenic Vein ◽  
Venous Drainage ◽  
Radical Resection ◽  
Splenorenal Shunt ◽  
Effective Measure ◽  
Splenic Volume ◽  
Short And Long Term

Abstract Background Resection of the portal venous confluence is frequently necessary for radical resection during pancreatoduodenectomy for cancer. However, ligation of the splenic vein can cause serious postoperative complications such as gastric/splenic venous congestion and left-sided portal hypertension. A splenorenal shunt (SRS) can maintain gastric and splenic venous drainage and mitigate these complications. Purpose This study describes the surgical technique, postoperative course, and surgical outcomes of SRS after pancreatoduodenectomy. Methods Ten patients who underwent pancreatoduodenectomy and SRS between September 2017 and April 2019 were evaluated. After resection an end-to-side anastomosis between the splenic vein and the left renal vein was performed. Postoperative shunt patency, splenic volume, and any SRS-related complications were recorded. Results The rates of short- and long-term shunt patency were 100% and 60%, respectively. No procedure-associated complications were observed. No signs of left-sided portal hypertension, such as gastrointestinal bleeding or splenomegaly, and no gastric/splenic ischemia were observed in patients after SRS. Conclusion SRS is a safe and effective measure to mitigate gastric congestion and left-sided portal hypertension after pancreatoduodenectomy with compromised gastric venous drainage after resection of the portal venous confluence.

Left Renal Vein Anatomical Anomalies: Radiological and Surgical Implications

1998 ◽  
Vol 13 (4) ◽  
pp. 166-170
Author(s):  
J. I. Martínez-León ◽  
C. Doménech-Pérez ◽  
J. Martínez-León ◽  
C. Martínez-Castillo ◽  
A. Martínez-Almagro
Keyword(s):  
Ct Scan ◽  
Retrospective Analysis ◽  
Outcome Measures ◽  
Surgical Management ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Clinical Anatomy ◽  
Surgery Department ◽  
Department Faculty ◽  
Radiological Examinations

Objective: To emphasize the incidence and clinical, diagnostic and surgical implications of left renal vein developmental anomalies. Design: Retrospective analysis of case notes. Setting: Clinical Anatomy Department and Surgery Department, Faculty of Medicine, University of Valencia, Spain. Patients, participants: Standard radiological examinations (CT scan) performed on 745 patients; surgical findings at operation in 128 patients with aorto-iliac atherosclerotic disease, and 72 donor cadavers for transplantation. Main outcome measures: Incidence of left renal vein anomalies (retro-aortic left renal vein and peri-aortic renal venous collar), based on radiological (CT scan) and surgical observations. Analysis of implications to surgical management. Results: The radiological series disclosed a 2.68% incidence of left renal vein anomalies: 1.33% retroaortic left renal vein, and 1.33% peri-aortic renal venous collar. The surgical series showed a 1.5% incidence of both anomalies. Conclusions: The importance is stressed of these relatively uncommon but hazardous conditions, which should be familiar to anatomists, radiologists and surgeons.

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